Abstract / Description of output
EHRs transform work practices in ways that enhance or impede the quality of care. There is a need for in-depth analysis of EHR workflows, particularly in complex clinical environments. We investigated EHR-basedpre-operative workflows by combining findings from 18 interviews, 7 days of observations, and process mining of EHR interactions from 31 personnel caring for 375 patients at one tertiary referral center. We provided high-definition descriptions of workflows and personnel roles. One third (32.2%) of the time with each patient was spent interacting with the EHR and 4.2% using paper-based artifacts. We also mined personnel social networks validating observed personnel's EHR-interactions. When comparing workflows between two similar pre-operative settings at different hospitals, we found significant differences in physical organization, patient workflow, roles, use of EHR, social networks and time efficiency. This study informs Mayo Clinic's enterprise-wide conversion to a single EHR and will guide before and after workflow comparisons.
Original language | English |
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Pages | 498-507 |
Number of pages | 10 |
Publication status | Published - 5 Dec 2018 |
Event | AMIA 2018 Annual Symposium - San Francisco, United States Duration: 3 Nov 2018 → 7 Nov 2018 https://www.amia.org/amia2018 |
Symposium
Symposium | AMIA 2018 Annual Symposium |
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Country/Territory | United States |
City | San Francisco |
Period | 3/11/18 → 7/11/18 |
Internet address |